A Phase 2/3 interventional study of lanreotide (Autogel formulation) in Diarrhea, sponsored by Ipsen. Completed at 11 sites in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-01-15.
Sponsored by Ipsen · Phase 2/3, Interventional, and Treatment
The purpose of this study, is to assess the effect of lanreotide Autogel 120mg on stool frequency in subjects with refractory diarrhea at day 28 (mean of last 7 days) compared to baseline.
852 studies on the registry are indexed under Diarrhea; 78 are open to participants now.
This study's enrollment of 42 is below the median of 136 across 713 interventional studies indexed under Diarrhea.
Browse Diarrhea studies →Ipsen is the lead sponsor of 282 studies on the registry; 16 are open to participants now.
Of its 24 completed or terminated interventional studies of FDA-regulated products, 19 (79%) have results posted.
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Exclusion Criteria:
lanreotide (Autogel formulation) Autogel 120mg
Drug: lanreotide (Autogel formulation)
Autogel 120mg
Percentage of Patients Having Minimum Reduction of 50% or Normalization (≤3 Stools/24hours) in the Mean Number of Stools (Mean of Last 7 Days)
Time frame: Day 28
Change in QOL-Quality of Life {Assess Using Short Form (SF-36) and Irritable Bowel Syndrome (IBS)-QOL} Compared to Baseline
SF36 QOL includes 1 multi-item scale measuring each of 8 health concepts. These scores are summed to produce raw scale scores for each health concept which are transformed to a 0-100 scale. The lower the score the more disability. The higher the score the less disability. There is in addition a single-item measure of Health Transition IBS-QOL is a self-report QOL measure specific to IBS that can be used to assess impact of IBS and its treatment. This consists of 34 items,each with a 5 point response scale.Individual responses to 34 items are summed and averaged for a total score and transformed to a 0-100 scale with higher scores indicating better IBS specific QOL
Time frame: Baseline (Day 1), Day 21, Day 28, Day 49 and Day 56
Change in Median Score of Stool Consistency (Bristol Stool Form Scale) Compared to Baseline
Each patient scored his/her stool on the Bristol Stool Form Scale: Type 1 - Separate hard lumps, like nuts (hard to pass); Type 2 - Sausage-shaped but lumpy; Type 3 - Like a sausage but with cracks on its surface; Type 4 - Like a sausage or snake, smooth and soft; Type 5 - Soft blobs with clear-cut edges (passed easily); Type 6 - Fluffy pieces with ragged edges, a mushy stool; Type 7 - Water no solid pieces, Entirely liquid
Time frame: Baseline (day 1), day 28 and day 56
Percent Change in Mean Number of Stools Compared to Baseline
Time frame: Baseline (Day 1), Day 28 and Day 56
Change From Baseline in Relative Frequency of Normalization (≤3 Stools) in Subjects
Normalization of stool frequency in subjects with refractory diarrhoea at Day 28 and Day 56 (mean of last 7 days) compared to Baseline.
Time frame: Baseline (Day 1), Day 28 and Day 56
Percentage of Patients Having Minimum Reduction of At Least 50% or Normalization of the Mean Number of Stools
Time frame: Day 56
This was a multicentered study performed at 18 investigational sites in Belgium of which 11 recruited patients.
| Milestone | Lanreotide Autogel 120 mg |
|---|---|
| Started | 42 |
| Completed | 36 |
| Not completed | 6 |
| Withdrew: Inclusion/exclusion | 5 |
| Withdrew: Consent withdrawal | 1 |
| Milestone | Lanreotide Autogel 120 mg |
|---|---|
| Started | 36 |
| Completed | 27 |
| Not completed | 9 |
| Withdrew: Lack of efficacy | 5 |
| Withdrew: Adverse event | 2 |
| Withdrew: Death | 1 |
| Withdrew: Lost to follow-up | 1 |
| Percentage of patients | Lanreotide Autogel 120 mg |
|---|---|
| Reduction of at least 50% or normalization - Yes | 44.4 |
| Reduction of at least 50% or normalization - No | 55.6 |
SF36 QOL includes 1 multi-item scale measuring each of 8 health concepts. These scores are summed to produce raw scale scores for each health concept which are transformed to a 0-100 scale. The lower the score the more disability. The higher the score the less disability. There is in addition a single-item measure of Health Transition IBS-QOL is a self-report QOL measure specific to IBS that can be used to assess impact of IBS and its treatment. This consists of 34 items,each with a 5 point response scale.Individual responses to 34 items are summed and averaged for a total score and transformed to a 0-100 scale with higher scores indicating better IBS specific QOL
| units on a scale | Lanreotide Autogel 120 mg |
|---|---|
| SF36 QOL: Physical Functioning (D21), n=33 | -1.3 ± 20.5 |
| SF36 QOL: Physical Functioning (D28), n=34 | 2.4 ± 19.6 |
| SF36 QOL: Physical Functioning (D49), n=26 | 2.9 ± 18.9 |
| SF36 QOL: Physical Functioning (D56), n=35 | 1.1 ± 23.3 |
| SF36 QOL: Role Physical (D21), n=33 | 4.5 ± 19.6 |
| SF36 QOL: Role Physical (D28), n=34 | 12.9 ± 21.8 |
| SF36 QOL: Role Physical (D49), n=26 | 6.3 ± 28.3 |
| SF36 QOL: Role Physical (D56), n=35 | 11.8 ± 23.5 |
| SF36 QOL: Role Emotional (D21), n=33 | -0.3 ± 34.8 |
| SF36 QOL: Role Emotional (D28), n=34 | 3.4 ± 40.7 |
| SF36 QOL: Role Emotional (D49), n=25 | 7.0 ± 35.2 |
| SF36 QOL: Role Emotional (D56), n=35 | 5.0 ± 39.6 |
| SF36 QOL: Vitality (D21), n=32 | 3.1 ± 22.1 |
| SF36 QOL: Vitality (D28), n=33 | 5.9 ± 22.2 |
| SF36 QOL: Vitality (D49), n=24 | 2.1 ± 24.6 |
| SF36 QOL: Vitality (D56), n=34 | 7.2 ± 23.9 |
| SF36 QOL: Mental Health (D21), n=32 | 5.8 ± 27.9 |
| SF36 QOL: Mental Health (D28), n=33 | 8.3 ± 28.2 |
| SF36 QOL: Mental Health (D49), n=24 | 8.3 ± 27.1 |
| SF36 QOL: Mental Health (D56), n=34 | 10.1 ± 27.7 |
| SF36 QOL: Social Functioning (D21), n=31 | 9.3 ± 27.8 |
| SF36 QOL: Social Functioning (D28), n=33 | 16.7 ± 29.8 |
| SF36 QOL: Social Functioning (D49), n=24 | 19.3 ± 34.8 |
| SF36 QOL: Social Functioning (D56), n=33 | 14.0 ± 31.5 |
| SF36 QOL: Bodily Pain (D21), n=33 | -4.6 ± 31.5 |
| SF36 QOL: Bodily Pain (D28), n=34 | 8.3 ± 28.6 |
| SF36 QOL: Bodily Pain (D49), n=26 | 8.8 ± 29.2 |
| SF36 QOL: Bodily Pain (D56), n=35 | 5.3 ± 30.7 |
| SF36 QOL: General Health (D21), n=33 | -2.8 ± 16.0 |
| SF36 QOL: General Health (D28), n=33 | 2.8 ± 16.8 |
| SF36 QOL: General Health (D49), n=26 | 4.1 ± 19.1 |
| SF36 QOL: General Health (D56), n=34 | 3.7 ± 19.9 |
| IBS QOL: Total Score (D21), n=27 | 9.9 ± 21.5 |
| IBS QOL: Total Score (D28), n=26 | 13.9 ± 22.0 |
| IBS QOL: Total Score (D49), n=22 | 16.8 ± 22.5 |
| IBS QOL: Total Score (D56), n=29 | 16.3 ± 22.5 |
Each patient scored his/her stool on the Bristol Stool Form Scale: Type 1 - Separate hard lumps, like nuts (hard to pass); Type 2 - Sausage-shaped but lumpy; Type 3 - Like a sausage but with cracks on its surface; Type 4 - Like a sausage or snake, smooth and soft; Type 5 - Soft blobs with clear-cut edges (passed easily); Type 6 - Fluffy pieces with ragged edges, a mushy stool; Type 7 - Water no solid pieces, Entirely liquid
| units on a scale | Lanreotide Autogel 120 mg |
|---|---|
| Change from Baseline to Day 28 | 0.0 (-3 to 1) |
| Change from Baseline to Day 56 | -0.5 (-4 to 1) |
| Percent change | Lanreotide Autogel 120 mg |
|---|---|
| Change from Baseline to Day 28 | -25.9 ± 36.7 |
| Change from Baseline to Day 56 | -30.7 ± 38.0 |
Normalization of stool frequency in subjects with refractory diarrhoea at Day 28 and Day 56 (mean of last 7 days) compared to Baseline.
| Percentage of days per Week | Lanreotide Autogel 120 mg |
|---|---|
| Change from Baseline to Day 28 | 27.5 ± 34.7 |
| Change from Baseline to Day 56 | 33.0 ± 34.3 |
| Percentage of participants | Lanreotide Autogel 120 mg |
|---|---|
| Reduction of at least 50% or normalization - Yes | 54.3 |
| Reduction of at least 50% or normalization - No | 45.7 |
Collected over Up to Day 56 (± 2). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Lanreotide Autogel 120 mg | — | 5/36 (13.9%) | 30/36 (83.3%) |
| Event | Lanreotide Autogel 120 mg |
|---|---|
| PancytopeniaBlood and lymphatic system disorders | 1/36 |
| SteatorrhoeaGastrointestinal disorders | 1/36 |
| BronchopneumoniaInfections and infestations | 1/36 |
| PneumoniaInfections and infestations | 1/36 |
| HypovolaemiaMetabolism and nutrition disorders | 1/36 |
| SyncopeNervous system disorders | 1/36 |
| DepressionPsychiatric disorders | 1/36 |
| Vaginal fistulaReproductive system and breast disorders | 1/36 |
| Respiratory failureRespiratory, thoracic and mediastinal disorders | 1/36 |
| Event | Lanreotide Autogel 120 mg |
|---|---|
| Abdominal painGastrointestinal disorders | 9/36 |
| NauseaGastrointestinal disorders | 4/36 |
| FatigueGeneral disorders | 4/36 |
| HeadacheNervous system disorders | 4/36 |
| Injection site noduleGeneral disorders | 3/36 |
| Decreased appetiteMetabolism and nutrition disorders | 3/36 |
| ConstipationGastrointestinal disorders | 2/36 |
| SteatorrhoeaGastrointestinal disorders | 2/36 |
| Influenza like illnessGeneral disorders | 2/36 |
| Back painMusculoskeletal and connective tissue disorders | 2/36 |
The Safety population was defined as all subjects who received at least one injection of the study medication.
| Age, Continuous(Years) | Lanreotide Autogel 120 mg |
|---|---|
| Mean | 55.2 ± 16.4 |
| Age, Customized(participants) | Lanreotide Autogel 120 mg |
|---|---|
| <30 years | 2 |
| >=30 to <65 years | 22 |
| >=65 years | 12 |
| Sex: Female, Male(Participants) | Lanreotide Autogel 120 mg |
|---|---|
| Female | 24 |
| Male | 12 |
| Race [Caucasian / White](Participants) | Lanreotide Autogel 120 mg |
|---|---|
| Number | 36 |
| Quality Of Life (QOL) - Scales(units on a scale) | Lanreotide Autogel 120 mg |
|---|---|
| SF36 QOL: Physical Functioning | 60.5 ± 29.1 |
| SF36 QOL: Role Physical | 39.6 ± 30.9 |
| SF36 QOL: Role Emotional | 52.8 ± 38.7 |
| SF36 QOL: Vitality | 38.8 ± 24.1 |
| SF36 QOL: Mental Health | 47.6 ± 23.1 |
| SF36 QOL: Social Functioning | 41.1 ± 31.2 |
| SF36 QOL: Bodily Pain | 48.7 ± 30.4 |
| SF36 QOL: General Health | 43.9 ± 22.8 |
| IBS QOL: Total Score | 47.4 ± 18.5 |
| Score of Stool Consistency (Bristol Stool Form Scale)(units on a scale) | Lanreotide Autogel 120 mg |
|---|---|
| Median | 6.0 (5 to 7) |
| Mean Number of Stools(Number of Stools) | Lanreotide Autogel 120 mg |
|---|---|
| Mean | 5.5 ± 2.3 |
This study is completed, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.
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Ipsen